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J Plast Surg Hand Surg. 2012 Dec;46(6):444-6. doi: 10.3109/2000656X.2012.729654. Epub 2012 Oct 23.

Microsurgical replantation and postoperative leech treatment of a large severed nasal segment.

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Department of Plastic Surgery, Breast Surgery and Burns Treatment, Copenhagen University Hospital , Rigshospitalet, Copenhagen , Denmark.


The survival of a microsurgically replanted segment of nose in a 41-year-old woman was facilitated by the assistance of the medicinal leech Hirudo medicinalis. An arterial microanastomosis was made to a severed partial segment of nose with no possibility of recreating a venous anastomosis. The resulting venous congestion was treated with nine days of treatment with a medical leech until venous neovascularisation had been achieved. At follow-up six months after discharge there was a well-heeled nasal segment and a satisfying functional - as well as cosmetic - result.

[Indexed for MEDLINE]

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